,i #aac? ,,congress #b;d ,session ,h4 ,r4 #efah ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,septemb] #ah1 #bjad ,mr4 ,kilm] 7= himself1 ,mr4 ,cuell>1 ,mr4 ,c>ney1 ,mr4 ,b>b]1 & ,mr4 ,gallego7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,vet]ans' ,affairs1 & 9 addition to ! ,committee on ! ,budget1 = a p]iod to be subsequ5tly det]m9$ by ! ,speak]1 9 ea* case = consid]ation ( su* provisions z fall )9 ! jurisdiction ( ! committee conc]n$ ,a ,,bill ,to e/abli% a pilot program to improve ! managem5t & acc\ntability )9 ! ,vet]ans ,heal? ,adm9i/ration ( ! ,dep>tm5t ( ,vet]ans ,affairs1 to provide ov]sight ( ! ,vet]ans ,heal? ,adm9i/ration1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,vet]ans ,heal? ,adm9i/ration ,managem5t ,improvem5t ,act4 #b4 ,comptroll] ,g5]al managem5t review ( ,vet]ans ,heal? ,adm9i/ration 7a7 ,managem5t review 7#a7 ,9 g5]al ,dur+ ! five-ye> p]iod beg9n+ on ! date ( ! enactm5t ( ?is ,act1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all conduct a managem5t review ( ! ,vet]ans ,heal? ,adm9i/ration ( ! ,dep>tm5t ( ,vet]ans ,affairs4 7#b7 ,matt]s includ$ ,! managem5t review "u p>agraph 7#a7 %all include a review1 ) respect to ! ,vet]ans ,heal? ,adm9i/ration1 ( ! foll[+3 7,a7 ,! managem5t /ructure1 includ+ ! roles & responsibilities among ! v>i\s organizational compon5ts 7local facilities1 regional networks1 & ! c5tral (fice74 7,b7 ,! ov]sight ( core functions1 includ+ ! ext5t to :i* l9es ( acc\ntability are cle>ly del9eat$4 7,c7 ,! evaluation plan1 op]ations1 & capacity to implem5t results-bas$ /rategic plann+4 7,d7 ,! ext5t to :i* contractors are us$ & monitor$ to support core managem5t functions4 7,e7 ,int]nal communication me*anisms1 includ+ expectations = communications1 t support ! mission4 7,f7 ,! sett+ ( priorities & ! monitor+ ( su* priorities4 7,g7 ,budget+ & res\rce allocation processes4 7,h7 ,work=ce plann+4 7,i7 ,human capital processes1 includ+ tra9+ activities1 to ensure timely hir+ & effective ret5tion ( a qualifi$ work=ce4 7,j7 ,in=mation te*nology to support core functions & activities4 7,k7 ,h[ ea* ( ! matt]s describ$ 9 subp>agraphs 7,a7 ?r\gh 7,j7 may diff] = rural m$ical facilities ( ! ,dep>tm5t ( ,vet]ans ,affairs4 7,l7 ,inc5tives1 includ+ any p]v]se inc5tives1 affect+ employee actions1 quality ( c>e1 & ! provision ( s]vices4 7,m7 ,insights f employees & employee repres5tatives ab\t ! "w environm5t & ! level ( engagem5t ( su* employees z c be d]iv$ f ! results ( ! annual ,f$]al employee survey & o!r int]nal surveys adm9i/]$ by ! ,secret>y ( ,vet]ans ,affairs4 7,n7 ,insights on ! f9d+s ( ! ,comptroll] ,g5]al f vet]an s]vice organizations1 organizations repres5t+ employees ( ! ,vet]ans ,heal? ,adm9i/ration1 o!r /akehold]s1 & ! ,managem5t & ,acc\ntability ,ombudsman describ$ 9 section #cab;,b ( title #ch1 ,unit$ ,/ates ,code1 z add$ by section #d4 7b7 ,reports ,n lat] ?an "o ye> aft] ! date ( ! enactm5t ( ?is ,act1 & annually !reaft] = a f\r-ye> p]iod1 ! ,comptroll] ,g5]al %all submit to ,congress "o or m reports t include-- 7#a7 ! matt]s review$ "u subsection 7a77#a72 & 7#b7 recomm5dations ( ! ,comptroll] ,g5]al bas$ on su* matt]s4 #c4 ,pilot program to improve managem5t & acc\ntability ( ,vet]ans ,heal? ,adm9i/ration 7a7 ,e/abli%m5t ,! ,secret>y ( ,vet]ans ,affairs %all e/abli% a pilot program to improve ! managem5t & acc\ntability )9 ! ,vet]ans ,heal? ,adm9i/ration4 7b7 ,goals ( pilot program ,! ,secret>y %all c>ry out ! pilot program "u subsection 7a7 9 a mann] t ensures t-- 7#a7 ! employees ( ! ,vet]ans ,heal? ,adm9i/ration h an opportunity to le>n1 implem5t1 & id5tify successful means ( advanc+ ! managem5t ( ! ,vet]ans ,heal? ,adm9i/ration & ! deliv]y ( c>e & s]vices2 & 7#b7 ! managem5t & deliv]y ( c>e & s]vices at m$ical facilities ( ! ,dep>tm5t is improv$ by implem5t+ ! recomm5dations ( ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates bas$ on ! managem5t review conduct$ "u section #b1 & any o!r appropriate recomm5dations1 ) respect to ! plann+ & evaluation capabilities ( ! ,vet]an ,heal? ,adm9i/ration4 7c7 ,application ( c]ta9 laws dur+ pilot program 7#a7 ,application ( p]=mance plan requirem5ts ,dur+ ! p]iod 9 :i* ! ,secret>y c>ries out ! pilot program "u subsection 7a71 ! ,secret>y %all c>ry out section #aaae7;b7 ( title #ca1 ,unit$ ,/ates ,code1 z foll[s3 7,a7 ,9 p>agraph 7#b71 by sub/itut+ 1 unless au?oriz$ to be 9 an alt]native =m "u subsection 7c71 & situate ea* goal 9 ! context ( its own logic model+ ( h[ ! op]ations & activities ( ! ag5cy1 9 coord9ation ) any significant op]ations & activities f ext]nal entities1 w contribute t[>d a*iev+ ! goals & responsibilities ( ! ag5cy2 = unless au?oriz$ to be 9 an alt]native =m "u subsection 7c724 7,b7 ,by includ+ 9 ! ag5cy p]=mance plan describ$ 9 su* section #aaae7;b71 = ea* p]=mance goal cov]$ by ! plan1 an id5tification & assessm5t ( ! risks ( creat+ new1 or p]petuat+ exi/+1 p]v]se inc5tives1 & /rategies = risk assessm5t1 monitor+1 & mitigation1 us+ a suitable risk managem5t approa*4 7#b7 ,application ( p]=mance report+ requirem5ts ,dur+ ! p]iod 9 :i* ! ,secret>y c>ries out ! pilot program "u subsection 7a71 ! ,secret>y %all c>ry out subsection 7c7 ( section #aaaf ( title #ca1 ,unit$ ,/ates ,code1 by includ+ 9 ! update requir$ by su* subsection /ati/ical in=mation reg>d+ ! ,vet]ans ,heal? ,adm9i/ration t-- 7,a7 is useful to multiple /akehold]s = int]nal managem5t & ext]nal ov]sight2 & 7,b7 provides insight into h[ programs are plann$1 f9anc$1 & manag$1 reg>d+-- 7i7 ! population ( vet]ans1 important subgr\ps !re(1 & ! /atus ( su* vet]ans2 7ii7 ! capacity ( ! op]ations ( ! ,vet]ans ,heal? ,adm9i/ration "u enact$ res\rce levels1 li/$ by important subcategories z appropriate2 & 7iii7 ! workload ( ! ,vet]ans ,heal? ,adm9i/ration1 li/$ by important subcategories z appropriate4 7#c7 ,application ( functions ( *ief op]at+ (fic] ,dur+ ! p]iod 9 :i* ! ,secret>y c>ries out ! pilot program "u subsection 7a71 ! ,secret>y %all c>ry out section #aabc7;b77#a7 ( title #ca1 ,unit$ ,/ates ,code1 by sub/itut+ /rategic & p]=mance plann+1 measurem5t1 evaluation1 analysis1 regul> assessm5t ( progress1 risk managem5t 7includ+ ! risks ( p]v]se inc5tives71 & use ( p]=mance in=mation to improve ! results a*iev$ = /rategic & p]=mance plann+1 measurem5t1 analysis1 regul> assessm5t ( progress1 & use ( p]=mance in=mation to improve ! results a*iev$4 7d7 ,evaluation plan ,! ,secret>y %all prep>e an annual organization evaluation plan = ! ,vet]ans ,heal? ,adm9i/ration t is in=m$ by ! recomm5dations ( ! ,comptroll] ,g5]al bas$ on ! managem5t review conduct$ "u section #b4 7e7 ,assi/ance 9 pilot program ,! ,managem5t & ,acc\ntability ,ombudsman describ$ 9 section #cab;,b ( title #ch1 ,unit$ ,/ates ,code1 z add$ by section #d7;a71 %all assi/ 9 ! pilot program "u subsection 7a7 by-- 7#a7 id5tify+ areas 9 :i* employees ( ! ,dep>tm5t h problems implem5t+ ! pilot program1 includ+ application ( logic model+1 manag+ risk ( p]v]se inc5tives1 & o!r issues t ! ,ombudsman det]m9e appropriate2 7#b7 to ! ext5t practicable1 propos+ *anges 9 ! adm9i/rative practices ( ! implem5tation ( ! pilot program to mitigate problems id5tifi$ "u p>agraph 7#a72 & 7#c7 review+1 exam9+1 & mak+ recomm5dations reg>d+ logic model+ policies1 /rategies1 & programs ( ! ,vet]ans ,heal? ,adm9i/ration4 7f7 ,brief+s 7#a7 ,initial brief+ ,n lat] ?an #ij days be=e ! ,secret>y comm5ces ! pilot program "u subsection 7a71 ! ,secret>y %all provide to ! ,committees on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives & ! ,s5ate & ! ,comptroll] ,g5]al a brief+ on-- 7,a7 a logic model ( h[ ! features ( ! pilot program w address ! problems id5tifi$ 9 ! managem5t review conduct$ "u section #b2 & 7,b7 su* o!r items z ! ,secret>y det]m9es appropriate4 7#b7 ,updates ,n lat] ?an #bdj days aft] ! ,secret>y comm5ces ! pilot program "u subsection 7a71 & annually !reaft] dur+ ! p]iod 9 :i* ! ,secret>y c>ries out ! pilot program1 ! ,secret>y %all provide to ! ,committees on ,vet]ans' ,affairs ( ! ,h\se ( ,repres5tatives & ! ,s5ate & ! ,comptroll] ,g5]al a brief+ on-- 7,a7 an evaluation ( ! implem5tation & effectiv5ess ( c>ry+ out ?is section1 includ+ any *all5ges enc\nt]$ & lessons le>n$2 7,b7 plann$ actions to improve ! success ( ! pilot program1 includ+ a mile/one plan = su* actions2 & 7,c7 su* o!r items z ! ,secret>y det]m9es appropriate4 7g7 ,duration ,! ,secret>y %all-- 7#a7 comm5ce ! pilot program "u subsection 7a7 by n lat] ?an #ahj days aft] ! date on :i* ! ,comptroll] ,g5]al submits ! report "u section #b7;b72 & 7#b7 c>ry out ! pilot program = a p]iod ( five ye>s4 7h7 ,def9itions ,9 ?is section3 7#a7 ,! t]m logic model+ means an approa*1 also ref]r$ to z program !ory1 program model+1 or !ory ( *ange1 t articulates ! assumptions ( ! /rategy or tactics ( a program or activity & h[ su* /rategy or tactics relate to ! b5efits t ! program or activity is expect$ to contribute t[>d 9 ord] to a*ieve c]ta9 goals1 objectives or responsibilities1 & may include-- 7,a7 ! mapp+ ( direct & indirect relation%ips among relevant res\rces1 activities1 mile/ones1 outputs1 int]m$iate outcomes1 & end outcomes2 & 7,b7 if significant coord9ation or coop]ation ) entities ext]nal to a program or activity may contribute to a*iev+ ! relevant goals1 objectives1 or responsibilities1 ! mapp+ ( ! roles ( entities ext]nal to ! program or activity4 7#b7 ,! t]m risk managem5t means ! processes t are us$ to id5tify1 assess1 monitor1 mitigate1 & report on risks to a*iev+ ! missions1 goals1 & objectives ( a dep>tm5t1 ag5cy1 or program us+ res\rces & processes appropriate to ! nature ( risks & res\rces available4 #d4 ,managem5t & acc\ntability ombudsman 7a7 ,9 g5]al ,*apt] #c ( title #ch1 ,unit$ ,/ates ,code1 is am5d$ by ins]t+ aft] section #cab;,a ! foll[+ new section3 #cab;,b4 ,managem5t & acc\ntability ombudsman 7a7 ,9 g5]al 7#a7 ,!re is 9 ! ,dep>tm5t an ,(fice ( ! ,managem5t & ,acc\ntability ,ombudsman 79 ?is section ref]r$ to z ! ,(fice74 ,!re is at ! head ( ! ,(fice an ,ombudsman1 :o %all be appo9t$ by ! ,presid5t f among individuals ) a backgr\nd 9 ent]prise risk managem5t4 7#b7 ,! ,ombudsman %all report directly to ! ,secret>y b ! ,secret>y may n prev5t or prohibit ! ,ombudsman f initiat+1 c>ry+ out1 or complet+ any responsibility ( ! ,ombudsman4 7#c7 ,! ,secret>y %all det]m9e ! appropriate level ( /aff+ & di/ribution ( responsibility to ensure ! success ( ! ,(fice4 7#d7 ,! ,presid5t %all include 9 ! budget transmitt$ to ! ,congress = ea* fiscal ye> pursuant to section #aaje ( title #ca an e/imate ( ! am\nt = ! ,(fice t is suffici5t to provide = a numb] ( full-"t positions 9 ! ,(fice4 7b7 ,responsibilities ,! ,ombudsman %all-- 7#a7 receive & address reports f employees & employee repres5tatives ( ! ,vet]ans ,heal? ,adm9i/ration ,affairs & assi/ 9 resolv+ problems ) ! managem5t1 adm9i/ration1 & deliv]y ( c>e ( ! ,vet]ans ,heal? ,ag5cy2 7#b7 communicate to ! ,secret>y ! obs]vations & f9d+s receiv$ pursuant to p>agraph 7#a72 7#c7 conduct inspections ( m$ical facilities ( ! ,vet]ans ,heal? ,adm9i/ration1 includ+ non-,dep>tm5t facilities t provide c>e pursuant to a contract ent]$ into "u *apt] #ag ( ?is title z necess>y2 7#d7 e/abli% a program "u :i* ! ,ombudsman & ! ,secret>y %all-- 7,a7 provide inc5tives to employees ( ! ,vet]ans ,heal? ,adm9i/ration :o sugge/ me?ods to improve ! managem5t & op]ations ( ! ,vet]ans ,heal? ,adm9i/ration2 7,b7 c>ry out 9 a pilot program ! sugge/ions t are likely to be successful2 & 7,c7 if su* a pilot program demon/rates t a sugge/ion causes a m>k$ improvem5t 9 su* managem5t & op]ations-- 7i7 rew>d ! employee :o made su* sugge/ion2 & 7ii7 c>ry out su* sugge/ion ?r\gh\t ! ,vet]ans ,heal? ,adm9i/ration2 & 7#e7 n less frequ5tly ?an once ea* cal5d> qu>t]1 provide to ! ,secret>y a summ>y & relevant /ati/ics conc]n+ ! activities & f9d+s ( ! ,ombudsman1 includ+ a summ>y ( ! sugge/ions made & c>ri$ out pursuant to p>agraph 7#d74 7c7 ,reque/ = inve/igations ,! ,ombudsman may reque/ ! ,inspector ,g5]al ( ! ,dep>tm5t to conduct an inspection1 inve/igation1 or audit4 ,^u su* a reque/1 ! ,inspector ,g5]al %all respond to ! ,ombudsman expla9+ ! plan ( ! ,inspector ,g5]al to comply ) su* reque/ or ! rationale ( ! ,inspector ,g5]al = d5y+ su* reque/4 7d7 ,coord9ation ,! ,secret>y %all ensure t ea* elem5t ( ! ,dep>tm5t has proc$ures to provide ! ,ombudsman ) =mal responses to any recomm5dation submitt$ by ! ,ombudsman to ! head ( su* elem5t4 7e7 ,annual reports ,n lat] ?an ,june #cj ( ea* ye>1 ! ,ombudsman %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,s5ate & ! ,h\se ( ,repres5tatives a report on ! objectives ( ! ,ombudsman = ! fiscal ye> beg9n+ 9 su* cal5d> ye>4 ,ea* report %all-- 7#a7 conta9 a full & sub/antive analysis1 9 addition to /ati/ical in=mation2 & 7#b7 set =? any recomm5dations ! ,ombudsman has made on improv+ ! managem5t & acc\ntability ( ! employees ( ! ,dep>tm5t & any responses receiv$ "u subsection 7d7 ) respect to ! e/imates describ$ 9 section #aag7;b7 ( ?is title4 7f7 ,risk managem5t def9$ ,9 ?is section1 ! t]m risk managem5t means ! processes t are us$ to id5tify1 assess1 monitor1 mitigate1 & report on risks to a*iev+ a ! mission1 goals1 & objectives ( a dep>tm5t1 ag5cy1 or program us+ res\rces & processes appropriate to ! nature ( risks & res\rces available4 4 7b7 ,cl]ical am5dm5t ,! table ( sections at ! beg9n+ ( su* *apt] is am5d$ by ins]t+ aft] ! item relat+ to section #cab;,a ! foll[+ new item3 #cab;,b4 ,managem5t & ,acc\ntability ,ombudsman4 4 7c7 ,comptroll] ,g5]al reports ,! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all review ea* budget ( ! ,presid5t submitt$ to ,congress "u section #aaje ( title #ca dur+ #bjae ?r\gh #bjbj to evaluate ! propos$ budget = heal? c>e provid$ by ! ,secret>y ( ,vet]ans ,affairs4 ,! ,comptroll] ,g5]al %all submit to ! ,committees on ,vet]ans' ,affairs ( ! ,s5ate & ! ,h\se ( ,repres5tatives a report conta9+ ! results ( ea* su* review1 at su* times & ) su* additional matt]s z ! ,comptroll] ,g5]al det]m9es appropriate 9 consultation ) su* committees4 #e4 ,vet]ans' ,bill ( ,rights 7a7 ,display ,! ,secret>y ( ,vet]ans ,affairs %all ensure t ! ,vet]ans' ,bill ( ,rights describ$ 9 subsection 7e7 is pr9t$ on signage 9 accessible =mats & display$ prom95tly & conspicu\sly 9 ea* m$ical facility ( ! ,dep>tm5t ( ,vet]ans ,affairs 9 accordance ) subsection 7c74 7b7 ,education ( ,dep>tm5t employees ,! ,secret>y %all ensure t employees ( ! ,dep>tm5t receive tra9+ on ! ,vet]ans' ,bill ( ,rights describ$ 9 subsection 7e74 7c7 ,outrea* ,! ,secret>y %all conduct outrea* to in=m vet]ans ab\t ! ,vet]ans' ,bill ( ,rights describ$ 9 subsection 7e7 by-- 7#a7 ensur+ t su* ,bill ( ,rights is available on ! ,int]net website ( ! ,dep>tm5t & prom95tly display$ 7us+ po/]s pr9t$ 9 a l>ge type t all[s = individuals ) #bj_/bj vision to read ! pr9t f #aj feet away7 9 public spaces1 lobbies1 visitor c5t]s1 cl9ic wait+ rooms1 & pati5t sitt+ rooms ( ! ,dep>tm5t2 7#b7 brief+ pati5ts ab\t su* ,bill ( ,rights :5 ! pati5t enrolls 9 ! sy/em ( pati5t enrollm5t sy/em "u section #agje ( title #ch1 ,unit$ ,/ates ,code2 & 7#c7 conduct+ o!r types ( outrea* t>get$ at specific gr\ps ( vet]ans1 :i* may include1 at a m9imum1 outrea* conduct$ on o!r ,int]net websites or ?r\gh vet]ans s]vice organizations1 heal? fairs1 & ! ,vet]ans ,heal? ,adm9i/ration ,vet]ans ,c5t] outrea* program4 7d7 ,implem5tation ,! ,secret>y %all ensure t ! ,vet]ans ,heal? ,adm9i/ration honors ! rights describ$ 9 subsection 7e74 7e7 ,vet]ans' ,bill ( ,rights ,! ,vet]ans' ,bill ( ,rights describ$ 9 ?is subsection is a /atem5t t vet]ans %\ld h1 at a m9imum & 9 addition to ! rights cov]$ by section #ag4cc ( title #ch1 ,code ( ,f$]al ,regulations1 ! foll[+ rights3 7#a7 ,! "r to access ! highe/ quality c>e1 includ+ ! "r to ! mo/ appropriate te*nology & qualifi$ practition]s4 7#b7 ,! "r to cont9uity ( c>e 9 ! transition f ! heal? program ( ! ,dep>tm5t ( ,def5se to ! heal? c>e sy/em ( ! ,dep>tm5t ( ,vet]ans ,affairs4 7#c7 ,! "r to receive assi/ance 9 und]/&+ ! available b5efits & s]vices to :i* ! vet]an is entitl$4 7#d7 ,! "r to receive a c>eful explanation ( a propos$ diagno/ic or !rapeutic proc$ure or c\rse ( treatm5t by ! appropriate m$ical practition]1 includ+ ) respect to ! risks1 complications1 alt]natives1 & results4 7#e7 ,! "r to ask que/ions conc]n+ heal? treatm5t4 7f7 ,vet]ans' bill ( rights ,! ,vet]ans' ,bill ( ,rights describ$ 9 ?is subsection is a /atem5t t vet]ans :o receive heal? c>e provid$ "u ! laws adm9i/]$ by ! ,secret>y ( ,vet]ans ,affairs %\ld h1 at a m9imum1 ! foll[+ rights 7to ! ext5t ( ! eligibility & enrollm5t ( ! vet]an = su* heal? c>e73 7#a7 ,! "r to access ! highe/ quality c>e1 includ+ ! "r to ! mo/ appropriate te*nology & qualifi$ practition]s4 7#b7 ,! "r to "k :at rules & regulations apply to pati5ts4 7#c7 ,! "r to cont9uity ( c>e 9 ! transition f ! heal? program ( ! ,dep>tm5t ( ,def5se to ! heal? c>e sy/em ( ! ,dep>tm5t ( ,vet]ans ,affairs4 7#d7 ,! "r to receive c>eful explanation ( propos$ diagno/ic or !rapeutic proc$ures or c\rses ( treatm5t by ! responsible m$ical p]sonnel1 includ+ ) respect to risks1 complications1 alt]native heal? practices1 results1 in=mation & reason+ = prescrib$ pa9 managem5t plans1 & a daily review ( ! m$ical *>t ( ! pati5t4 7#e7 ,! "r = ! pati5t to ask que/ions & be involv$ 9 all decisions reg>d+ ! c>e receiv$ by ! pati5t4 7#f7 ,! "r to a second op9ion or *ange ( provid]1 if available4 7#g7 ,! "r to "k ! reason = any *ange 9 m$ical practition]s responsible = ! c>e ( ! pati5t4 7#h7 ,! "r to "k ! id5tity & pr(essional /atus ( individuals provid+ s]vice & to "k :o is prim>ily responsible = ! c>e ( ! pati5t4 7#i7 ,! "r to n be transf]r$ to ano!r facility1 organization1 or dep>tm5t unless ! pati5t receives a complete explanation = ! ne$1 0 notifi$ ( alt]natives1 & ! receiv+ organization1 facility1 or dep>tm5t is ready to accept ! transf]4 7#aj7 ,! "r to receive consid]ate1 respectful c>e at all times & "u all circum/ances ) recognition ( p]sonal dignity1 div]sity1 & religi\s1 or o!r spiritual & cultural pref]5ces4 7#aa7 ,! "r1 9 accordance ) relevant provisions ( law1 to p]sonal & in=mational confid5tiality & privacy 9 ! discussion ( ! c>e & managem5t ( records ( pati5ts4 7#ab7 ,! "r to visitors )9 ! policies ( ! facility & to be in=m$ ( ! visitation rights1 includ+ any cl9ically necess>y re/rictions4 7#ac7 ,! "r to be free f all =ms ( abuse or h>assm5t4 7#ad7 ,! "r to access protective & advocacy s]vices1 :5 available1 & file grievances4 7#ae7 ,! "r to rema9 free ( *emical & physical re/ra9ts unless safety requires o!rwise4 7#af7 ,! "r to c>e provid$ 9 a safe & clean sett+1 free f excessive noise & ) suffici5t light+ = com=t & safety4